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psnet.ahrq.gov/node/836786/psn-pdf
January 01, 2023 - Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care.
March 23, 2022
Wieringa S, Neves AL, Rushforth A, et al. Safety implications of remote assessments for suspected
COVID-19: qualitative study in UK primary care. BMJ Qual Saf. 2023;32(12):732-741. doi:10.1136/bmjq…
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of two
institutionally-defined case cohorts.
December 7, 2022
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of t…
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psnet.ahrq.gov/node/42721/psn-pdf
December 12, 2014 - Infusional chemotherapy and medication errors in a
tertiary care pediatric cancer unit in a resource-limited
setting.
December 12, 2014
Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric
cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;…
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psnet.ahrq.gov/node/60687/psn-pdf
July 15, 2020 - Cumulative effect of flexible duty-hour policies on
resident outcomes: long-term follow-up results from the
FIRST trial.
July 15, 2020
Landrigan CP, Rahman SA, Sullivan JP, et al. Cumulative effect of flexible duty-hour policies on resident
outcomes: long-term follow-up results from the FIRST trial. N Engl J Med. …
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psnet.ahrq.gov/node/61086/psn-pdf
November 04, 2020 - Integrating and evaluating the data quality and utility of
smart pump information in detecting medication
administration errors: evaluation study.
November 4, 2020
Ni Y, Lingren T, Huth H, et al. Integrating and evaluating the data quality and utility of smart pump
information in detecting medication administratio…
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psnet.ahrq.gov/node/44648/psn-pdf
February 14, 2017 - Rising drug allergy alert overrides in electronic health
records: an observational retrospective study of a decade
of experience.
February 14, 2017
Topaz M, Seger DL, Slight SP, et al. Rising drug allergy alert overrides in electronic health records: an
observational retrospective study of a decade of experience. …
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psnet.ahrq.gov/node/866901/psn-pdf
October 09, 2024 - Reader bias in breast cancer screening related to cancer
prevalence and artificial intelligence decision support-a
reader study.
October 9, 2024
Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence
and artificial intelligence decision support—a reader study. Eur…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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psnet.ahrq.gov/node/838912/psn-pdf
December 01, 2005 - Discrepancies between clinical and autopsy diagnosis
and the value of post mortem histology: a meta-analysis
and review.
December 1, 2005
Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value
of post mortem histology; a meta-analysis and review. Histopathology. 2005;…
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient care delivery: a prospective observational case
study of five teaching hospitals.
September 28, 2016
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on
general in…
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psnet.ahrq.gov/node/50711/psn-pdf
January 01, 2020 - Unscheduled return visits to the emergency department
with ICU admission: a trigger tool for diagnostic error.
December 4, 2019
Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU
admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…
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psnet.ahrq.gov/node/851351/psn-pdf
July 12, 2023 - Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID-19 pandemic: a
multicentre qualitative study.
July 12, 2023
Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the
intensive care unit during the COVID?19 pandemic: a multic…
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psnet.ahrq.gov/node/38538/psn-pdf
January 02, 2017 - Rating recommendations for consumers about patient
safety: sense, common sense, or nonsense?
January 2, 2017
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety:
sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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psnet.ahrq.gov/node/60228/psn-pdf
April 15, 2020 - How safety is compromised when hospital equipment is a
poor fit for patients who are obese.
April 15, 2020
Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese.
Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4.
https://psnet.ahrq.gov/issue/how-safety-comp…
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psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s largest
event reporting database.
May 17, 2023
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
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psnet.ahrq.gov/node/46652/psn-pdf
July 14, 2018 - The effects of crew resource management on teamwork
and safety climate at Veterans Health Administration
facilities.
July 14, 2018
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - A systematic review of simulation for multidisciplinary
team training in operating rooms.
June 3, 2013
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training
in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/SIH.0b013e31827e2f4c.
https://psnet.ahr…
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psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - Managing the prevention of retained surgical instruments:
what is the value of counting?
March 3, 2011
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what
is the value of counting? Ann Surg. 2008;247(1):13-8.
https://psnet.ahrq.gov/issue/managing-prevention-ret…